Re: Lupron Cost / Insurance
From: Amy (anonymous@obgyn.net)
Wed Jan 22 09:05:52 2003
For jsodapop5 or anyone else in the same situation as listed below:
Could you look into taking the monthly shots, which usually run about
$500? That way you wouldn't go over the cap. I hope that a monthly
injection isn't costing you $1500. I thought that was the expense for a
3 month dosage. At least it was for me last year when I took it. Three
months is more convenient, as it is less trips to the Doc office to get
the injection, but at least the monthly version would not hit the
monthly insurance cap. Just making a suggestion here-hope I am not off
base. I live in SE Indiana and my Doc got the shots directly from TAP
and had them shipped to his office. I know that the monthly was like
$528 and the three month version was over $1500. Feel free to email me
privately if I can help. I'm not pushing Lupron on anyone, but would
hate to see someone not be able to try it (if that is what they WANT to
do) because of dumb insurance BS!
--
Amy Meyer
At Tue, 21 Jan 2003, anonymous@obgyn.net wrote:
>
>At Mon, 20 Jan 2003, Robert wrote:
>>
>>At Thu, 25 Feb 1999, Chrissy wrote:
>>>
>>> My insurance company is great with the Lupron. I only took it two
>>> times but my daughter has taken it since she was 3 (she is 6 now) for
>>> Precocious Puberty. My insurance company has a contract with a local
>>> Pharmacy that distributes injectables and they deliver it to my house
>>> and my insurance pays 100%. Another suggestion I have so you don't
>>> have to keep going to the doc. is to either give your shot yourself
>>> (if you can stand it) or have your husband go with you to the doc and
>>> have them show him how to do it. My husband gives my daughter her
>>> shot every month and he gave me my last one. My GYN wanted to do the
>>> first one to make sure I handled it ok. My GYN was perfectly fine
>>> with him giving it to me since he already knew how to do my daughters.
>>> Just a suggestion! I know shots can be a terrifying thing for some.
>>>
>>> Chrissy
>>
>>Received my first Lupron injection 12/19/02 and was just
>>notified by my HMO that cost claim was denied. HMO considered
>>LUPRON chemotherapy.
>>I would like to know the costs which your insurer paid and
>>how they defined LUPRON under their coverage.
>>Thank you for any assistance you can give.
>
>--
>My Dr. also wanted me to do a trial of Lupron, but I cannot afford it either.
>My insurance has a $1000 a month cap per family, and the shot costs $1500. I would have to
>pay $500 out of pocket and 100% of any other medication for the rest of the month.
>I had to say "NO". I am going to try Depo-Vera. Has anyone else tried this?
>
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